| NPI | 1124183587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY M. BURREN General Dentist 847-741-5066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19-A-14534) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |